运动恐惧在慢性心力衰竭患者疾病感知与运动自我效能间的中介效应分析  

Mediating effect of kinesiophobia on illness perception and exercise self-efficacy in patients with chronic heart failure

作　　者：曹玉英[1] 韦艳艳 刘平[1] Cao Yuying;Wei Yanyan;Liu Ping(Imaging Department,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院影像科,济宁272029

出　　处：《中华现代护理杂志》2024年第15期2015-2020,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨运动恐惧在慢性心力衰竭(CHF)患者疾病感知与运动自我效能间的中介效应。方法采用便利抽样法,选取2023年1—8月在济宁医学院附属医院心血管内科住院的CHF患者为研究对象。采用一般资料调查表、心脏病患者运动恐惧量表(TSK-SV Heart)、运动自我效能量表、疾病感知问卷简化版(BIPQ)对患者进行调查。采用Bootstrap方法检验运动恐惧在CHF患者疾病感知与运动自我效能间的中介效应。结果本研究共发放问卷220份,回收有效问卷207份,问卷有效回收率为94.09%(207/220)。207例CHF患者TSK-SV Heart总分为(43.36±10.50)分,运动自我效能量表总分为(37.00±15.84)分,BIPQ总分为(52.77±15.76)分。运动恐惧在CHF患者疾病感知与运动自我效能间起部分中介效应,效应值为-0.251(P<0.01),占总效应的42.76%。结论疾病感知既能直接影响CHF患者的运动自我效能,也能通过运动恐惧间接影响患者的运动自我效能。医护人员应充分了解患者对疾病的看法,帮助患者正确认识疾病,并且采取一定的干预措施帮助患者克服运动恐惧心理,从而提高患者的运动自我效能。Objective To explore the mediating effect of kinesiophobia on illness perception and exercise self-efficacy in patients with chronic heart failure(CHF).Methods From January to August 2023,convenience sampling was used to select CHF patients in the Department of Cardiovascular of Affiliated Hospital of Jining Medical University as the research subject.The patients were surveyed using the General Information Questionnaire,Tampa Scale for Kinesiophobia Heart(TSK-SV Heart),Exercise Self Efficacy Scale,and the Brief Illness Perception Questionnaire(BIPQ).Bootstrap method was used to examine the mediating effect of kinesiophobia on illness perception and exercise self-efficacy in CHF patients.Results A total of 220 questionnaires were distributed,and 207 valid questionnaires were collected,with a valid response rate of 94.09%(207/220).Among 207 CHF patients,the total TSK-SV Heart score,total Exercise Self Efficacy Scale score,and total BIPQ score were(43.36±10.50),(37.00±15.84),and(52.77±15.76),respectively.Kinesiophobia partially mediated the relationship between illness perception and exercise self-efficacy in CHF patients,and the effect value was-0.251(P<0.01),accounting for 42.76%of the total effect.Conclusions Illness perception can directly affect the exercise self-efficacy of CHF patients,as well as indirectly affect their exercise self-efficacy through kinesiophobia.Medical and nursing staff should fully understand the patient's views on the disease,help patients have a correct understanding of the disease,and take certain intervention measures to help patients overcome their kinesiophobia,thereby improving their exercise self-efficacy.

关 键 词：慢性心力衰竭 运动恐惧 疾病感知 运动自我效能 中介效应 

分 类 号：R473.5[医药卫生—护理学] G804.8[医药卫生—临床医学]